Spann W
Klin Monbl Augenheilkd. 1978 Aug;173(2):125-9.
The doctor-patient contract results from the logical actions. As well as treating the patient to the best of his knowledge and capability the doctor has the subsidary obligation of explanation. This must be done so that the patient can estimate risks himself. There is no legal basis for the extent of the explanation. Typical complications are to be mentioned--but not all possible complications. But "what is a typical complication" is controversial. The less urgent the treatment, the more comprehensive the information. The responsible doctor must do the explaining himself--he may delegate this only in the case of professional hindrance because of other urgent cases. The content of the explanation should be written and countersigned by the patient. For minors and legally incapacitated the parents or the responsible persons must give their consent.
医患契约源于合理的行为。医生在尽其所知和所能治疗患者的同时,还负有辅助解释的义务。解释必须做到让患者能够自行评估风险。解释的范围并无法律依据。应提及典型并发症——但并非所有可能的并发症。然而,“什么是典型并发症”存在争议。治疗越不紧急,信息就应越全面。负责的医生必须亲自进行解释——只有在因其他紧急情况而存在专业障碍时,才可以委托他人解释。解释内容应以书面形式呈现,并由患者签字确认。对于未成年人和无行为能力者,其父母或负责人必须给予同意。